Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09187 | Date 26/05/2023 |
| Token No | SM/22-23/9841 26/05/2023 | Serial | 019 |
| Patient Name | Mr. MRITYUNJOY THAPA | Contact No | 7605839023 |
| Address | 20 L B S ROAD | Age | 12 Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||